Letter to the Editor Aesthetic Surgery Journal 2018, Vol 38(2) NP33 Response to “The Micromort Concept and its © 2017 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: Applicability to Breast Implant-Associated email@example.com DOI: 10.1093/asj/sjx212 Anaplastic Large Cell Lymphoma (BIA-ALCL) www.aestheticsurgeryjournal.com Risk Assessment” David A. Sieber, MD; and William P. Adams Jr, MD Editorial Decision date: October 13, 2017; online publish-ahead-of-print December 16, 2017. Thank you for your insightful comments on our arti- Funding cle entitled “What’s Your Micromort? A Patient-Oriented The authors received no financial support for the research, Analysis of Breast Implant-Associated Anaplastic Large authorship, and publication of this article. Cell Lymphoma (BIA-ALCL) Risk Assessment.” Activities REFERENCES such as drinking wine present risk in a J-shaped curve, in part because wine consumption may occur along a 1. Baxter RA. The micromort concept and its applicability to spectrum from none to excess. Whereas moderate wine breast implant-associated anaplastic large cell lymphoma consumption, even alongside heavy alcohol consumption, (BIA-ALCL) risk assessment. Aesthet Surg J. 2018;38(2): demonstrates multiple health benefits. Although the activ- NP32. 2. Sieber DA, Adams WP. What’s your micromort? ities demonstrated by Wilson occur along a spectrum as A patient-oriented analysis of breast implant-associated well, many may present as all or none events, such as rid- anaplastic large cell lymphoma (BIA-ALCL). Aesthet Surg ing a bicycle 10 miles, riding 300 miles in a car, or traveling 4 J. 2017;37(8):887-891. 1000 miles in a jet. Despite his data being older, these 3. Grønbaek M, Becker U, Johansen D, et al. Type of alcohol events would not present in a J-shaped curve as riding less consumed and mortality from all causes, coronary heart in a car will not impose health benefits, but will instead disease, and cancer. Ann Intern Med. 2000;133(6):411-419. only decrease risk. Likewise, having breast implants is an 4. Wilson R. Analyzing the risks of daily life. Technol Rev. all or nothing event. Therefore, one cannot have “less” of a 1979;81:41-46. breast augmentation in hopes of pursuing health benefits. For this reason, we believe using the micromort terminol- Dr Sieber is a plastic surgeon in private practice in San Francisco, ogy is well founded and is a valuable tool for patient edu- CA. Dr Adams is an Associate Clinical Professor, Department of cation on BIA-ALCL. Plastic Surgery, and Program Director of the Aesthetic Surgery Fellowship at UTSW, University of Texas Southwestern, Dallas, TX. Disclosures Corresponding Author: The authors declared no potential conflicts of interest with Dr David A. Sieber, Sieber Plastic Surgery, 450 Sutter Street, Suite respect to the research, authorship, and publication of this 2630, San Francisco, CA 94108, USA. article. E-mail: firstname.lastname@example.org Downloaded from https://academic.oup.com/asj/article-abstract/38/2/NP33/4754091 by Ed 'DeepDyve' Gillespie user on 16 March 2018
Aesthetic Surgery Journal – Oxford University Press
Published: Feb 1, 2018
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